Instead, Hawaii has been approved to implement a 30-day hospital coverage limit starting July 1, state and federal health officials say. Exempted from the limit are children, pregnant women, those undergoing cancer treatment, the elderly and the blind and disabled.

So what will Hawaii do instead? Cut poor people out of coverage entirely.

Hawaii officials said they found other ways to trim the state’s increasing Medicaid budget. They plan to reduce adult Medicaid income eligibility levels from 200 percent of the federal poverty level, which is $51,432 a year for a family of four, to 133 percent of the poverty level, or a maximum income of $34,200 for a family of four.